PATRICIA POLK BURKETT (NPI# 1720079932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720079932 |
Entity Type | Individual |
Full Name | PATRICIA POLK BURKETT |
Credential | PSYD |
Practice Address |
100 Highland Ave Ne Largo FL 33770-2542 |
Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credential Dept Fort Myers FL 33916-2216 |
Practice Telephone | 7276832900 |
Practice Fax Number | 7276832901 |
Mailing Telephone | 2392748200 |
Mailing Fax Number | 2392783350 |
Enumeration Date | 2005-11-04 |
Last Update Date | 2011-04-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | PY4694 | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BCBS | 54413 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578847224 | Patricia Burkett | Developmental Therapist | 2708 Ne 14th St, Suite 5, Pompano Beach, FL 33062-3565 | 2011-09-29 |
Street Address |
100 HIGHLAND AVE NE |
City | LARGO |
State | FL |
Zip Code | 33770-2542 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073502233 | Kerry E Chamberlain | Internal Medicine | 100 Highland Ave Ne, Largo, FL 33770-2542 | 2005-10-19 |
1104199603 | Wendy Jean Migliore Sanchez | Nurse Practitioner | 100 Highland Ave Ne, Largo, FL 33770-2542 | 2012-02-14 |
1629215579 | St. Anthony's Professional Buildings & Services, Inc | Specialist | 100 Highland Ave Ne, Largo, FL 33770-2542 | 2009-01-14 |
1528098720 | Gregoire Bergier | Internal Medicine | 100 Highland Ave Ne, Largo, FL 33770-2542 | 2006-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
Find all providers in zip 33770 |
Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
Notes: Source: American Psychological Association [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669872347 | James R. Kinney Jr., Psy.d., P.l.l.c. | Psychologist | 10225 Ulmerton Rd Ste 1a, Largo, FL 33771-3522 | 2014-08-29 |
1336101393 | Carol Ann Cody | Psychologist | 7431 114th Ave, Suite 104, Largo, FL 33773-5119 | 2006-04-05 |
1720504236 | Zaylee Otero-martinez | Psychologist | 10225 Ulmerton Rd, Largo, FL 33771-3538 | 2017-08-16 |
1245587831 | James R Kinney Jr. | Psychologist | 10225 Ulmerton Rd, Suite 1a, Largo, FL 33771-3538 | 2012-08-14 |
1205110731 | Carmen Teresa Vazquez Berio | Psychologist | 10225 Ulmerton Rd, Ste12 B, Largo, FL 33771-3538 | 2011-10-03 |
1972801462 | Jenna C Elwart | Psychologist | 1100 Clearwater Largo Rd N, Largo, FL 33770-4131 | 2011-03-07 |
1972812113 | Joseph Mark Barron | Psychologist | 10823 Seminole Blvd, Suite 3a, Largo, FL 33778-3347 | 2010-10-06 |
1073745410 | Deborah Bloome, Psy.d. Pa | Psychologist | 14521 Walsingham Rd, Largo, FL 33774-3342 | 2009-08-19 |
1588835680 | Shailaja Kurli | Psychologist | 1300 Mercantile Ln, Suite 136c, Largo, MD 20774-5327 | 2008-03-17 |
1174746192 | Mary L Murray Psyd Pa | Psychologist | 10333 Seminole Blvd, Suite 6, Largo, FL 33778-4210 | 2007-04-10 |
Find all providers in LARGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.